Gibson County Podiatry LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

GIBSON COUNTY PODIATRY LLC

Doing business as

Gibson County Podiatry LLC

Practice address

91 Milan Hwy Ste a
Milan, TN 38358-6047

Phone

(731) 855-1040

Fax

(731) 855-3927

NPI assigned

Jun 25, 2007

Last updated

Oct 9, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James T Harris, DPMNPI 1760436091

Title

President

Phone

(731) 855-1040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gibson County Podiatry LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2bc71e38-c7fb-4443-b9ec-1941e90edee2/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Thomas Harris, D.P.M

  • Podiatrist
  • Trenton, TN
  • NPI 1760436091
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1790981066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MILAN HWY STE A",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383586047",
            "telephone_number": "731-855-1040",
            "fax_number": "731-855-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MILAN HWY STE A",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383586047",
            "telephone_number": "731-855-1040",
            "fax_number": "731-855-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON COUNTY PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-855-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790981066",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibson County Podiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gibson County Podiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Ferrell, PTA
• Robert M Fields, DDS
• Flippin Drug Company, Inc
• Robert Fly, COTA/L
• FPM LLC
• Jon-Marc Gowan, PTA
• Kristen Nicole Gray
• James Groves
• Karon P Harrison, P.A.
• William Hudson Harrison, DDS

• Podiatrist in Milan, TN
• Providers in Milan, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.